Medical-Surgical Nursing Solved Exam Questions

Course Introduction

Medical-Surgical Nursing is a foundational course that explores the principles and practices related to the care of adult patients experiencing a wide range of acute and chronic health conditions. The course covers comprehensive assessment, clinical decision-making, pathophysiology, and evidence-based interventions in medical and surgical settings. Students learn to manage the needs of patients before, during, and after surgical procedures, as well as those with complex medical disorders, focusing on promoting health, preventing complications, and supporting recovery. Emphasis is placed on interdisciplinary collaboration, patient education, safety, and advocacy to ensure high-quality nursing care across diverse healthcare environments.

Recommended Textbook

Medical Surgical Nursing 10th Edition by Lewis

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68 Chapters

1998 Verified Questions

1998 Flashcards

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Chapter 1: Professional Nursing Practice

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21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/25336

Sample Questions

Q1) The nurse uses the Situation-Background-Assessment-Recommendation (SBAR)format to communicate a change in patient status to a health care provider. In which order should the nurse make the following statements? (Put a comma and a space between each answer choice [A,B,C,D].)

A)"The patient needs to be evaluated immediately and may need intubation and mechanical ventilation."

B)"The patient was admitted yesterday with heart failure and has been receiving furosemide (Lasix) for diuresis, but urine output has been low."

C)"The patient has crackles audible throughout the posterior chest, and the most recent oxygen saturation is 89%.Her condition is very unstable."

D)"This is the nurse on the surgical unit.After assessing the patient, I am very concerned about increased shortness of breath over the past hour."

Answer: D,B,C,A

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Chapter 2: Health Disparities and Culturally Competent Care

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18 Verified Questions

18 Flashcards

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Sample Questions

Q1) The nurse plans care for a hospitalized patient who uses culturally based treatments. Which action by the nurse is best?

A)Encourage the use of diagnostic procedures.

B)Coordinate the use of folk treatments with ordered medical therapies.

C)Ask the patient to discontinue the cultural treatments during hospitalization.

D)Teach the patient that folk remedies will interfere with orders by the health care provider.

Answer: B

Q2) The nurse is caring for a patient who speaks a different language. If an interpreter is not available,which action by the nurse is most appropriate?

A)Talk slowly so that each word is clearly heard.

B)Speak loudly in close proximity to the patient's ears.

C)Repeat important words so that the patient recognizes their significance.

D)Use simple gestures to demonstrate meaning while talking to the patient.

Answer: D

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Chapter 3: Health History and Physical Examination

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15 Verified Questions

15 Flashcards

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Sample Questions

Q1) The nurse is preparing to perform a focused assessment for a patient complaining of shortness of breath. Which equipment will be needed?

A)Flashlight

B)Stethoscope

C)Tongue blades

D)Percussion hammer

Answer: B

Q2) When assessing for formation of a possible blood clot in the lower leg of a patient,which action should the nurse take first?

A)Visually inspect the leg.

B)Feel for the temperature of the leg.

C)Check the patient's pedal pulses using the fingertips.

D)Compress the nail beds to determine capillary refill time.

Answer: A

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Chapter 4: Patient and Caregiver Teaching

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21 Verified Questions

21 Flashcards

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Sample Questions

Q1) The nurse is planning a teaching session with a patient newly diagnosed with migraine headaches. To assess a patient's readiness to learn,which question should the nurse ask first?

A)"What kind of work and leisure activities do you do?"

B)"What information do you think you need right now?"

C)"Can you describe the types of activities that help you learn new information?"

D)"Do you have any religious beliefs that are inconsistent with the planned treatment?"

Q2) A patient with diabetic neuropathy requires teaching about foot care. Which learning goal should the nurse include in the teaching plan?

A)The nurse will demonstrate the proper technique for trimming toenails.

B)The patient will list three ways to protect the feet from injury by discharge.

C)The nurse will instruct the patient on appropriate foot care before discharge.

D)The patient will understand the rationale for proper foot care after instruction.

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Chapter 5: Chronic Illness and Older Adults

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21 Verified Questions

21 Flashcards

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Sample Questions

Q1) An older adult patient presents with a broken arm and visible scattered bruises healing at different stages. Which action should the nurse take first?

A)Notify an elder protective services agency about possible abuse.

B)Make a referral for a home assessment visit by the home health nurse.

C)Have the family member stay in the waiting area while the patient is assessed.

D)Ask the patient how the injury occurred and observe the family member's reaction.

Q2) The home health nurse visits an older patient with mild forgetfulness. Which new information is of most concern to the nurse?

A)The patient tells the nurse that a close friend recently died.

B)The patient has lost 10 lb (4.5 kg) during the past month.

C)The patient is cared for by a daughter during the day and stays with a son at night.

D)The patient's son uses a marked pillbox to set up the patient's medications weekly.

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Chapter 6: Stress and Stress Management

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12 Verified Questions

12 Flashcards

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Sample Questions

Q1) An obese female patient who had enjoyed active outdoor activities is stressed because osteoarthritis in her hips now limits her activity. Which action by the nurse will best assist the patient to cope with this situation?

A)Have the patient practice frequent relaxation breathing.

B)Ask the patient what outdoor activities she misses the most.

C)Teach the patient to use imagery for reducing pain and stress.

D)Encourage the patient to consider weight loss to improve symptoms.

Q2) A patient is extremely anxious about having a biopsy on a femoral lymph node. Which relaxation technique would be the best choice for the nurse to facilitate during the procedure?

A)Yoga stretching

B)Guided imagery

C)Relaxation breathing

D)Mindfulness meditation

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Chapter 7: Sleep and Sleep Disorders

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11 Verified Questions

11 Flashcards

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Sample Questions

Q1) A patient complains of difficulty falling asleep and daytime fatigue for the past 6 weeks. What is the best initial action for the nurse to take in determining whether this patient has chronic insomnia?

A)Schedule a polysomnograph (PSG).

B)Teach the patient how to use an actigraph.

C)Ask the patient to keep a 2-week sleep diary.

D)Arrange for the patient to have a sleep study.

Q2) Which patient statement indicates a need for further teaching about extended-release zolpidem (Ambien CR)?

A)"I should take the medication on an empty stomach."

B)"I will take the medication 1 to 2 hours before bedtime."

C)"I should not take this medication unless I can sleep for at least 6 hours."

D)"I will schedule activities that require mental alertness for later in the day."

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Chapter 8: Pain

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26 Verified Questions

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Sample Questions

Q1) A patient who is using both a fentanyl (Duragesic)patch and immediate-release morphine for chronic cancer pain develops new-onset confusion,dizziness,and a decrease in respiratory rate. Which action should the nurse take first?

A)Remove the fentanyl patch.

B)Obtain complete vital signs.

C)Notify the health care provider.

D)Administer prescribed PRN naloxone

Q2) The nurse is caring for a patient who has diabetes and complains of chronic,burning leg pain even when taking oxycodone (OxyContin)twice daily. Which prescribed medication is the best choice for the nurse to administer as an adjuvant to decrease the patient's pain?

A)Aspirin

B)Amitriptyline

C)Celecoxib (Celebrex)

D)Acetaminophen (Tylenol)

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Chapter 9: Palliative Care at End of Life

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16 Verified Questions

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Sample Questions

Q1) A hospice nurse who has become close to a terminally ill patient is present in the home when the patient dies and feels saddened and tearful as the family members begin to cry. Which action should the nurse take at this time?

A)Contact a grief counselor as soon as possible.

B)Cry along with the patient's family members.

C)Leave the home quickly to allow the family to grieve privately.

D)Consider leaving hospice work because patient losses are common.

Q2) A patient who has been diagnosed with inoperable lung cancer and has a poor prognosis plans a trip across the country "to settle some issues with family members." The nurse recognizes that the patient is manifesting which psychosocial response to death?

A)Protesting the unfairness of death

B)Anxiety about unfinished business

C)Fear of having lived a meaningless life

D)Restlessness about the uncertainty of prognosis

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Chapter 10: Substance Use Disorders

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25 Verified Questions

25 Flashcards

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Sample Questions

Q1) An older adult patient who has been taking alprazolam (Xanax)calls the clinic asking for a refill of the prescription 1 month before the alprazolam should need to be refilled. Which response by the nurse is best?

A)"The prescription cannot be refilled for another month.What happened to all of your pills?"

B)"Do you have muscle cramps and tremors if you don't take the medication frequently?"

C)"I will ask the health care provider to prescribe more pills, but you will not be able to have them until next month."

D)"I am concerned that you may be overusing those.Let's make an appointment for you with the health care provider."

Q2) A patient who is admitted to the hospital for wound debridement admits to using fentanyl (Sublimaze)illegally. What withdrawal signs does the nurse expect?

A)Tremors and seizures

B)Vomiting and diarrhea

C)Lethargy and disorientation

D)Delusions and hallucinations

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Chapter 11: Inflammation and Wound Healing

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22 Verified Questions

22 Flashcards

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Sample Questions

Q1) When admitting a patient with stage III pressure ulcers on both heels,which information obtained by the nurse will have the most impact on wound healing?

A)The patient has had the heel ulcers for 6 months.

B)The patient takes oral hypoglycemic agents daily.

C)The patient states that the ulcers are very painful.

D)The patient has several incisions that formed keloids.

Q2) A young male patient with paraplegia has a stage II sacral pressure ulcer and is being cared for at home by his family. To prevent further tissue damage,what instructions are most important for the nurse to teach the patient and family?

A)Change the patient's bedding frequently.

B)Apply a hydrocolloid dressing over the ulcer.

C)Change the patient's position every 1 to 2 hours.

D)Record the size and appearance of the ulcer weekly.

Q3) A patient's temperature has been 101° F (38.3° C)for several days. The patient's normal caloric intake to meet nutritional needs is 2000 calories per day. Knowing that the metabolic rate increases 7% for each Fahrenheit degree above 100° in body temperature,how many total calories should the patient receive each day?

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Chapter 12: Genetics and Genomics

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7 Verified Questions

7 Flashcards

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Sample Questions

Q1) A patient with a family history of cystic fibrosis (CF)asks for information about genetic testing. Which response by the nurse is most appropriate?

A)Refer the patient to a qualified genetic counselor.

B)Ask the patient why genetic testing seems necessary.

C)Remind the patient that genetic testing has many social implications.

D)Tell the patient that cystic fibrosis is an autosomal recessive disorder.

Q2) A male patient with hemophilia asks the nurse if his children will be hemophiliacs. Which response by the nurse is accurate?

A)"All of your children will be at risk for hemophilia."

B)"Hemophilia is a multifactorial inherited condition."

C)"Only your male children are at risk for hemophilia."

D)"Your female children will be carriers for hemophilia."

Q3) A patient tells the nurse,"I would like to use a home genetic test to see if I will develop breast cancer." Which is the nurse's best initial response?

A)"Home genetic testing is very expensive."

B)"Are you prepared to cope with a positive result?"

C)"Are you concerned about developing breast cancer?"

D)"Genetic testing only determines if you are at higher risk for breast cancer."

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Chapter 13: Altered Immune Responses and Transplantation

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26 Verified Questions

26 Flashcards

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Sample Questions

Q1) A patient seeks care in the emergency department after sharing needles for heroin injection with a friend who has hepatitis B. To provide immediate protection from infection,what medication will the nurse expect to administer?

A)Corticosteroids

B)Gamma globulin

C)Hepatitis B vaccine

D)Fresh frozen plasma

Q2) Which statement by a patient would alert the nurse to a risk for decreased immune function?

A)"I had a chest x-ray 6 months ago."

B)"I had my spleen removed after a car accident."

C)"I take one baby aspirin every day to prevent stroke."

D)"I usually eat eggs or meat for at least two meals a day."

Q3) The nurse teaches a patient about drug therapy after a kidney transplant. Which statement by the patient would indicate a need for further instructions?

A)"I need to be monitored closely for development of malignant tumors."

B)"After a couple of years I will be able to stop taking the cyclosporine."

C)"If I develop acute rejection episode, I will need additional types of drugs."

D)"The drugs are combined to inhibit different ways the kidney can be rejected."

Page 15

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Chapter 14: Infection and Human Immunodeficiency Virus

Infection

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26 Verified Questions

26 Flashcards

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Sample Questions

Q1) The nurse is advising a clinic patient who was exposed a week ago to human immunodeficiency virus (HIV)through unprotected sexual intercourse. The patient's antigen and antibody test has just been reported as negative for HIV. What instructions should the nurse give to this patient?

A)"You will need to be retested in 2 weeks."

B)"You do not need to fear infecting others."

C)"Since you don't have symptoms and you have had a negative test, you do not have HIV)."

D)"We won't know for years if you will develop acquired immunodeficiency syndrome (AIDS)."

Q2) A patient who has a positive test for human immunodeficiency virus (HIV)antibodies is admitted to the hospital with Pneumocystis jiroveci pneumonia (PCP)and a CD4? T-cell count of less than 200 cells/mL. Based on diagnostic criteria established by the Centers for Disease Control and Prevention (CDC),which statement by the nurse is correct?

A)"The patient will develop symptomatic HIV infection within 1 year."

B)"The patient meets the criteria for a diagnosis of acute HIV infection."

C)"The patient will be diagnosed with asymptomatic chronic HIV infection."

D)"The patient has developed acquired immunodeficiency syndrome (AIDS)."

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Chapter 15: Cancer

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43 Verified Questions

43 Flashcards

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Sample Questions

Q1) A hospitalized patient who has received chemotherapy for leukemia develops neutropenia. Which observation by the nurse would indicate a need for further teaching?

A)The patient ambulates around the room.

B)The patient's visitors bring in fresh peaches.

C)The patient cleans with a warm washcloth after having a stool.

D)The patient uses soap and shampoo to shower every other day.

Q2) The nurse assesses a patient with non-Hodgkin's lymphoma who is receiving an infusion of rituximab (Rituxan). Which assessment finding would require the most rapid action by the nurse?

A)Shortness of breath

B)Shivering and chills

C)Muscle aches and pains

D)Temperature of 100.2° F (37.9° C)

Q3) The nurse is caring for a patient receiving intravesical bladder chemotherapy. The nurse should monitor for which adverse effect?

A)Nausea

B)Alopecia

C)Hematuria

D)Xerostomia

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Page 17

Chapter

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Sample Questions

Q1) A patient with multiple draining wounds is admitted for hypovolemia. Which assessment would be the most accurate way for the nurse to evaluate fluid balance?

A)Skin turgor

B)Daily weight

C)Urine output

D)Edema presence

Q2) The nurse assesses a patient who has been hospitalized for 2 days. The patient has been receiving normal saline IV at 100 mL/hr,has a nasogastric tube to low suction,and is NPO. Which assessment finding would be a priority for the nurse to report to the health care provider?

A)Oral temperature of 100.1°F

B)Serum sodium level of 138 mEq/L (138 mmol/L)

C)Gradually decreasing level of consciousness (LOC)

D)Weight gain of 2 pounds (1 kg) over the admission weight

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Chapter 17: Preoperative Care

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Sample Questions

Q1) A 38-yr-old woman is admitted for an elective surgical procedure. Which information obtained by the nurse during the preoperative assessment is most important to communicate to the anesthesiologist and surgeon before surgery?

A)The patient's lack of knowledge about postoperative pain control

B)The patient's history of an infection following a cholecystectomy

C)The patient's report that her last menstrual period was 8 weeks ago

D)The patient's concern about being able to resume lifting heavy items

Q2) Which information in the preoperative patient's medication history is most important to communicate to the health care provider?

A)The patient takes garlic capsules every day.

B)The patient quit using cocaine 10 years ago.

C)The patient took a prescribed sedative the previous night.

D)The patient uses acetaminophen (Tylenol) for aches and pains.

Q3) Which statement by a patient scheduled for surgery is most important to report to the health care provider?

A)"I have a strong family history of cancer."

B)"I had a heart valve replacement last year."

C)"I had bacterial pneumonia 3 months ago."

D)"I have knee pain whenever I walk or jog."

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Page 19

Chapter 18: Intraoperative Care

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Sample Questions

Q1) Postoperatively,the nurse should monitor the patient who received inhalation anesthesia for which complication?

A)Tachypnea

B)Myoclonus

C)Hypertension

D)Laryngospasm

Q2) While in the holding area,a patient reveals to the nurse that his father had a high fever after surgery. What action by the nurse is a priority?

A)Place a medical alert sticker on the front of the patient's chart.

B)Alert the anesthesia care provider of the family member's reaction to surgery.

C)Give 650 mg of acetaminophen (Tylenol) per rectum as a preventive measure.

D)Reassure the patient that his temperature will be closely monitored after surgery.

Q3) Which action will the perioperative nurse take after surgery is completed for a patient who received ketamine as an anesthetic agent?

A)Question the order for giving a benzodiazepine.

B)Ensure that atropine is available in case of bradycardia.

C)Provide a quiet environment in the postanesthesia care unit.

D)Anticipate the need for higher than usual doses of analgesic agents.

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Chapter 19: Postoperative Care

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Sample Questions

Q1) The nasogastric (NG)tube is removed on the second postoperative day,and the patient is placed on a clear liquid diet. Four hours later,the patient complains of frequent,cramping gas pains. What action by the nurse is the most appropriate?

A)Reinsert the NG tube.

B)Give the PRN IV opioid.

C)Assist the patient to ambulate.

D)Place the patient on NPO status.

Q2) A patient is transferred from the postanesthesia care unit (PACU)to the clinical unit. Which action by the nurse on the clinical unit should be performed first?

A)Assess the patient's pain.

B)Orient the patient to the unit.

C)Take the patient's vital signs.

D)Read the postoperative orders.

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Chapter 20: Assessment of Visual and Auditory Systems

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Sample Questions

Q1) The nurse is providing health promotion teaching to a group of older adults. Which information will the nurse include when teaching about routine glaucoma testing?

A)A Tono-Pen will be applied to the surface of the eye.

B)The test involves reading a Snellen chart from 20 feet.

C)Medications will be used to dilate the pupils for the test.

D)The examination involves checking the pupil's reaction to light.

Q2) The nurse is performing an eye examination on a 76-yr-old patient. The nurse should refer the patient for a more extensive assessment based on which finding?

A)The patient's sclerae are light yellow.

B)The patient reports persistent photophobia.

C)The pupil recovers slowly after responding to a bright light.

D)There is a whitish gray ring encircling the periphery of the iris.

Q3) Which information will the nurse provide to the patient scheduled for refractometry?

A)"You should not take any of your eye medicines before the examination."

B)"You will need to wear sunglasses for a few hours after the examination."

C)"The doctor will shine a bright light into your eye during the examination."

D)"The surface of your eye will be numb while the doctor does the examination."

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Chapter 21: Visual and Auditory Problems

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47 Verified Questions

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Sample Questions

Q1) A 75-yr-old patient who lives alone at home tells the nurse,"I am afraid of losing my independence because my eyes don't work as well they used to." Which action should the nurse take first?

A)Discuss the increased risk for falls that is associated with impaired vision.

B)Ask the patient about what type of vision problems are being experienced.

C)Explain that there are many ways to compensate for decreases in visual acuity.

D)Suggest ways of improving the patient's safety, such as using brighter lighting.

Q2) A patient with glaucoma who has been using timolol (Timoptic)drops for several days tells the nurse that the eye drops cause eye burning and visual blurriness for a short time after administration. The best response to the patient's statement is A)"Those symptoms may indicate a need for a change in dosage of the eye drops."

B)"The drops are uncomfortable, but it is important to use them to retain your vision."

C)"These are normal side effects of the drug, which should be less noticeable with time."

D)"Notify your health care provider so that different eye drops can be prescribed for you."

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Chapter 22: Assessment of Integumentary System

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Sample Questions

Q1) Which integumentary assessment data from an older patient admitted with bacterial pneumonia is of concern to the nurse?

A)Brown macules on extremities

B)Reports a history of allergic rashes

C)Skin wrinkled with tenting on both hands

D)Longitudinal nail ridges and sparse scalp hair

Q2) The nurse is developing a health promotion plan for an older adult who worked in the landscaping business for 40 years. The nurse will plan to teach the patient about how to self-assess for which clinical manifestations ?

A)Vitiligo

B)Alopecia

C)Intertrigo

D)Erythema

E)Actinic keratosis

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Chapter 23: Integumentary Problems

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Sample Questions

Q1) The nurse working in the dermatology clinic assesses a young adult female patient who has. severe cystic acne. Which assessment finding is of concern related to the patient's prescribed isotretinoin ?

A)The patient recently had an intrauterine device removed.

B)The patient already has some acne scarring on her forehead.

C)The patient has also used topical antibiotics to treat the acne.

D)The patient has a strong family history of rheumatoid arthritis.

Q2) A patient who has severe refractory psoriasis on the face,neck,and extremities is socially withdrawn because of the appearance of the lesions. Which action should the nurse take first?

A)Discuss the possibility of participating in an online support group.

B)Encourage the patient to volunteer to work on community projects.

C)Suggest that the patient use cosmetics to cover the psoriatic lesions.

D)Ask the patient to describe the impact of psoriasis on quality of life.

Q3) Which information will the nurse include when teaching an older patient about skin care?

A)Dry the skin thoroughly before applying lotions.

B)Bathe and wash hair daily with soap and shampoo.

C)Use warm water and a moisturizing soap when bathing.

D)Use antibacterial soaps when bathing to avoid infection.

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Chapter 24: Burns

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Sample Questions

Q1) Which action will the nurse include in the plan of care for a patient in the rehabilitation phase after a burn injury to the right arm and chest?

A)Keep the right arm in a position of comfort.

B)Avoid the use of sustained-release narcotics.

C)Teach about the purpose of tetanus immunization.

D)Apply water-based cream to burned areas frequently.

Q2) A patient with circumferential burns of both legs develops a decrease in dorsalis pedis pulse strength and numbness in the toes. Which action should the nurse take first?

A)Monitor the pulses every hour.

B)Notify the health care provider.

C)Elevate both legs above heart level with pillows.

D)Encourage the patient to flex and extend the toes.

Q3) While the patient's full-thickness burn wounds to the face are exposed,what nursing action prevents cross contamination?

A)Use sterile gloves when removing dressings.

B)Wear gown, cap, mask, and gloves during care.

C)Keep the room temperature at 70° F (20° C) at all times.

D)Give IV antibiotics to prevent bacterial colonization of wounds.

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Chapter 25: Assessment of Respiratory System

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Sample Questions

Q1) After the nurse has received change-of-shift report,which patient should the nurse assess first?

A)A patient with pneumonia who has crackles in the right lung base

B)A patient with chronic bronchitis who has a low forced vital capacity

C)A patient with possible lung cancer who has just returned after bronchoscopy

D)A patient with hemoptysis and a 16-mm induration after tuberculin skin testing

Q2) A patient with acute dyspnea is scheduled for a spiral computed tomography (CT)scan. Which information obtained by the nurse is a priority to communicate to the health care provider before the CT?

A)Allergy to shellfish

B)Apical pulse of 104

C)Respiratory rate of 30

D)O2 saturation of 90%

Q3) The nurse admits a patient who has a diagnosis of an acute asthma attack. Which statement indicates that the patient may need teaching regarding medication use?

A)"I have not had any acute asthma attacks during the past year."

B)"I became short of breath an hour before coming to the hospital."

C)"I've been taking Tylenol 650 mg every 6 hours for chest wall pain."

D)"I've been using my albuterol inhaler more frequently over the last 4 days."

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Page 27

Chapter 26: Upper Respiratory Problems

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Sample Questions

Q1) A patient scheduled for a total laryngectomy and radical neck dissection for cancer of the larynx asks the nurse,"Will I be able to talk normally after surgery?" What is the most accurate response by the nurse?

A)"You will breathe through a permanent opening in your neck, but you will not be able to communicate orally."

B)"You won't be able to talk right after surgery, but you will be able to speak again after the tracheostomy tube is removed."

C)"You will have a permanent opening into your neck, and you will need rehabilitation for some type of voice restoration."

D)"You won't be able to speak as you used to, but there are artificial voice devices that will give you the ability to speak normally."

Q2) Which patient in the ear,nose,and throat (ENT)clinic should the nurse assess first?

A)A patient who is complaining of a sore throat and has a muffled voice

B)A patient who has a "scratchy throat" and a positive rapid strep antigen test

C)A patient who is receiving radiation for throat cancer and has severe fatigue

D)A patient with a history of a total laryngectomy whose stoma is red and inflamed

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Chapter 27: Lower Respiratory Problems

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51 Verified Questions

51 Flashcards

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Sample Questions

Q1) The nurse administers prescribed therapies for a patient with cor pulmonale and right-sided heart failure. Which assessment could be used to evaluate the effectiveness of the therapies?

A)Observe for distended neck veins.

B)Auscultate for crackles in the lungs.

C)Palpate for heaves or thrills over the heart.

D)Monitor for elevated white blood cell count.

Q2) Employee health test results reveal a tuberculosis (TB)skin test of 16-mm induration and a negative chest x-ray for a staff nurse working on the pulmonary unit. The nurse has no symptoms of TB. Which information should the occupational health nurse plan to teach the staff nurse?

A)Use and side effects of isoniazid

B)Standard four-drug therapy for TB

C)Need for annual repeat TB skin testing

D)Bacille Calmette-Guérin (BCG) vaccine

Q3) Which action should the nurse plan to prevent aspiration in a high-risk patient?

A)Turn and reposition an immobile patient at least every 2 hours.

B)Place a patient with altered consciousness in a side-lying position.

C)Insert a nasogastric tube for feeding a patient with high calorie needs.

D)Monitor respiratory symptoms in a patient who is immunosuppressed.

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Chapter 28: Obstructive Pulmonary Diseases

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Sample Questions

Q1) The nurse is admitting a patient diagnosed with an acute exacerbation of chronic obstructive pulmonary disease (COPD). How should the nurse determine the appropriate O2 flow rate?

A)Minimize O2 use to avoid O2 dependency.

B)Maintain the pulse oximetry level at 90% or greater.

C)Administer O2 according to the patient's level of dyspnea.

D)Avoid administration of O2 at a rate of more than 2 L/min.

Q2) Postural drainage with percussion and vibration is ordered twice daily for a patient with chronic bronchitis. Which intervention should the nurse include in the plan of care?

A)Schedule the procedure 1 hour after the patient eats.

B)Maintain the patient in the lateral position for 20 minutes.

C)Give the prescribed albuterol (Ventolin HFA) before the therapy.

D)Perform percussion before assisting the patient to the drainage position.

Q3) A patient with asthma has a personal best peak expiratory flow rate (PEFR)of 400 L/min. When explaining the asthma action plan,the nurse will teach the patient that a change in therapy is needed when the PEFR is less than ___ L/minute

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Chapter 29: Assessment of Hematologic System

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Sample Questions

Q1) The nurse is reviewing laboratory results and notes a patient's activated partial thromboplastin time (aPTT)level of 28 seconds. The nurse should notify the health care provider in anticipation of adjusting which medication?

A)Aspirin

B)Heparin

C)Warfarin

D)Erythropoietin

Q2) The nurse notes pallor of the skin and nail beds in a newly admitted patient. The nurse should ensure that which laboratory test has been ordered?

A)Platelet count

B)Neutrophil count

C)Hemoglobin level

D)White blood cell count

Q3) The nurse assesses a patient with pernicious anemia. Which assessment finding would the nurse expect?

A)Yellow-tinged sclerae

B)Shiny, smooth tongue

C)Numbness of the extremities

D)Gum bleeding and tenderness

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Chapter 30: Hematologic Problems

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Sample Questions

Q1) Which finding about a patient with polycythemia vera is most important for the nurse to report to the health care provider?

A)Hematocrit 55%

B)Presence of plethora

C)Calf swelling and pain

D)Platelet count 450,000/mL

Q2) After receiving change-of-shift report for several patients with neutropenia,which patient should the nurse assess first?

A)A 56-yr-old with frequent explosive diarrhea

B)A 33-yr-old with a fever of 100.8° F (38.2° C)

C)A 66-yr-old who has white pharyngeal lesions

D)A 23-yr-old who is complaining of severe fatigue

Q3) A patient who has acute myelogenous leukemia (AML)is considering treatment with a hematopoietic stem cell transplant (HSCT). The best approach for the nurse to assist the patient with a treatment decision is to

A)discuss the need for insurance to cover post-HSCT care.

B)ask whether there are questions or concerns about HSCT.

C)emphasize the positive outcomes of a bone marrow transplant.

D)explain that a cure is not possible with any treatment except HSCT.

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Page 32

Chapter 31: Assessment of Cardiovascular System

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Sample Questions

Q1) While listening at the mitral area,the nurse notes abnormal heart sounds at the patient's fifth intercostal space,midclavicular line. After listening to the audio clip,describe how the nurse will document the assessment finding.

A)S3 gallop heard at the aortic area

B)Systolic murmur noted at mitral area

C)Diastolic murmur noted at tricuspid area

D)Pericardial friction rub heard at the apex

Q2) Which information obtained by the nurse who is admitting the patient for magnetic resonance imaging (MRI)will be important to report to the health care provider before the MRI?

A)The patient has an allergy to shellfish.

B)The patient has a history of atherosclerosis.

C)The patient has a permanent cardiac pacemaker.

D)The patient took the prescribed heart medications today.

Q3) To auscultate for S3 or S4 gallops in the mitral area,the nurse listens with the

A)diaphragm of the stethoscope with the patient lying flat.

B)bell of the stethoscope with the patient in the left lateral position.

C)diaphragm of the stethoscope with the patient in a supine position.

D)bell of the stethoscope with the patient sitting and leaning forward.

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Page 33

Chapter 32: Hypertension

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Sample Questions

Q1) Which assessment finding for a patient who is receiving IV furosemide (Lasix)to treat stage 2 hypertension is most important to report to the health care provider?

A)Blood glucose level of 175 mg/dL

B)Serum potassium level of 3.0 mEq/L

C)Orthostatic systolic BP decrease of 12 mm Hg

D)Most recent blood pressure (BP) reading of 168/94 mm Hg

Q2) The nurse is caring for a 70-yr-old patient who uses hydrochlorothiazide and enalapril (Norvasc)but whose self-monitored blood pressure (BP)continues to be elevated. Which patient information may indicate a need for a change?

A)Patient takes a daily multivitamin tablet.

B)Patient checks BP daily just after getting up.

C)Patient drinks wine three to four times a week.

D)Patient uses ibuprofen (Motrin) treat osteoarthritis.

Q3) The nurse obtains a blood pressure of 176/82 mm Hg for a patient. What is the patient's mean arterial pressure (MAP)?

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Chapter 33: Coronary Artery Disease and Acute Coronary Syndrome

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Sample Questions

Q1) A patient with ST-segment elevation in three contiguous electrocardiographic leads is admitted to the emergency department and diagnosed as having an ST-segment-elevation myocardial infarction. Which question should the nurse ask to determine whether the patient is a candidate for thrombolytic therapy?

A)"Do you have any allergies?"

B)"Do you take aspirin on a daily basis?"

C)"What time did your chest pain begin?"

D)"Can you rate your chest pain using a 0 to 10 scale?"

Q2) A patient with hyperlipidemia has a new order for colesevelam (Welchol). Which nursing action is appropriate when scheduling this medication?

A)Administer the medication at the patient's usual bedtime.

B)Have the patient take the colesevelam 1 hour before breakfast.

C)Give the patient's other medications 2 hours after colesevelam.

D)Have the patient take the dose at the same time as the prescribed aspirin.

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Chapter 34: Heart Failure

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Sample Questions

Q1) The nurse plans discharge teaching for a patient with chronic heart failure who has prescriptions for digoxin (Lanoxin)and hydrochlorothiazide. Appropriate instructions for the patient include

A)limit dietary sources of potassium.

B)take the hydrochlorothiazide before bedtime.

C)notify the health care provider if nausea develops.

D)take the digoxin if the pulse is below 60 beats/min.

Q2) When teaching the patient with newly diagnosed heart failure about a 2000-mg sodium diet,the nurse explains that foods to be restricted include

A)canned and frozen fruits.

B)yogurt and milk products.

C)fresh or frozen vegetables.

D)eggs and other high-protein foods.

Q3) Which assessment finding in a patient admitted with acute decompensated heart failure (ADHF)requires the most immediate action by the nurse?

A)O2 saturation of 88%

B)Weight gain of 1 kg (2.2 lb)

C)Heart rate of 106 beats/min

D)Urine output of 50 mL over 2 hours

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Page 36

Chapter 35: Dysrhythmias

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Sample Questions

Q1) The nurse has received change-of-shift report about the following patients on the progressive care unit. Which patient should the nurse see first?

A)A patient with atrial fibrillation, rate 88 and irregular, who has a dose of warfarin (Coumadin) due

B)A patient with second-degree atrioventricular (AV) block, type 1, rate 60, who is dizzy when ambulating

C)A patient who is in a sinus rhythm, rate 98 and regular, recovering from an elective cardioversion 2 hours ago

D)A patient whose implantable cardioverter-defibrillator (ICD) fired twice today and has a dose of amiodarone (Cordarone) due

Q2) A 19-yr-old student comes to the student health center at the end of the semester complaining that,"My heart is skipping beats." An electrocardiogram (ECG)shows occasional unifocal premature ventricular contractions (PVCs). What action should the nurse take next?

A)Insert an IV catheter for emergency use.

B)Start supplemental O2 at 2 to 3 L/min via nasal cannula.

C)Ask the patient about current stress level and caffeine use.

D)Have the patient taken to the nearest emergency department (ED).

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Chapter 36: Inflammatory and Structural Heart Disorders

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Sample Questions

Q1) Which action could the nurse delegate to unlicensed assistive personnel (UAP)trained as electrocardiogram (ECG)technicians working on the cardiac unit?

A)Select the best lead for monitoring a patient with an admission diagnosis of Dressler syndrome.

B)Obtain a list of herbal medications used at home while admitting a new patient with pericarditis.

C)Teach about the need to monitor the weight daily for a patient who has hypertrophic cardiomyopathy.

D)Watch the heart monitor for changes in rhythm while a patient who had a valve replacement ambulates.

Q2) When caring for a patient with infective endocarditis of the tricuspid valve,the nurse should monitor the patient for the development of A)flank pain.

B)splenomegaly.

C)shortness of breath.

D)mental status changes.

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Chapter 37: Vascular Disorders

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Sample Questions

Q1) Which assessment finding for a patient who has been admitted with a right calf venous thromboembolism (VTE)requires immediate action by the nurse?

A)Erythema of right lower leg

B)Complaint of right calf pain

C)New onset shortness of breath

D)Temperature of 100.4°F (38°C)

Q2) Which action by a new nurse who is giving fondaparinux (Arixtra)to a patient with a lower leg venous thromboembolism (VTE)indicates that more education about the drug is needed?

A)The nurse avoids rubbing the injection site after giving the drug.

B)The nurse injects the drug into the abdominal subcutaneous tissue.

C)The nurse ejects the air bubble from the syringe before giving the drug.

D)The nurse does not check partial thromboplastin time (PTT) before giving the drug.

Q3) When assessing a patient with possible peripheral artery disease (PAD),the nurse obtains a brachial blood pressure (BP)of 147/82 mm Hg and an ankle pressure of 112/74 mm Hg. The nurse calculates the patient's ankle-brachial index (ABI)as ________ (round up to the nearest hundredth).

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Chapter 38: Assessment of Gastrointestinal System

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Sample Questions

Q1) The nurse is assessing an alert and independent 78-yr-old patient for malnutrition risk. Which is the most appropriate initial question?

A)"How do you get to the store to buy your food?"

B)"Can you tell me the food that you ate yesterday?"

C)"Do you have any difficulty in preparing or eating food?"

D)"Are you taking any medications that alter your taste for food?"

Q2) Which information about an 80-yr-old male patient at the senior center is of most concern to the nurse?

A)Decreased appetite

B)Unintended weight loss

C)Difficulty chewing food

D)Complaints of indigestion

Q3) The nurse will plan to monitor a patient with an obstructed common bile duct for A)melena.

B)steatorrhea.

C)decreased serum cholesterol level.

D)increased serum indirect bilirubin level.

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Chapter 39: Nutritional Problems

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Sample Questions

Q1) A patient's peripheral parenteral nutrition (PN)bag is nearly empty,and a new PN bag has not arrived yet from the pharmacy. Which intervention by the nurse is appropriate?

A)Monitor the patient's capillary blood glucose every 6 hours.

B)Infuse 5% dextrose in water until a new PN bag is delivered.

C)Decrease the PN infusion rate to 10 mL/hr until a new bag arrives.

D)Flush the peripheral line with saline until a new PN bag is available.

Q2) A 20-yr-old woman is being admitted with electrolyte disorders of unknown etiology. Which assessment finding is most important to report to the health care provider?

A)The patient uses laxatives daily.

B)The patient's knuckles are macerated.

C)The patient has a history of extreme fluctuations.

D)The patient's serum potassium level is 2.9 mEq/L.

Q3) Which finding for a young adult who follows a vegan diet may indicate the need for cobalamin supplementation?

A)Paresthesias

B)Ecchymoses

C)Dry, scaly skin

D)Gingival swelling

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Chapter 40: Obesity

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Sample Questions

Q1) After bariatric surgery,a patient who is being discharged tells the nurse,"I prefer to be independent. I am not interested in any support groups." Which response by the nurse is best?

A)"I hope you change your mind so that I can suggest a group for you."

B)"Tell me what types of resources you think you might use after this surgery."

C)"Support groups have been found to lead to more successful weight loss after surgery."

D)"Because there are many lifestyle changes after surgery, we recommend support groups."

Q2) To evaluate an obese patient for adverse effects of lorcaserin (Belviq),which action will the nurse take?

A)Take the apical pulse rate.

B)Check sclera for jaundice.

C)Ask about bowel movements.

D)Assess for agitation or restlessness.

Q3) Which adult will the nurse plan to teach about risks associated with obesity?

A)Man who has a BMI of 18 kg/m2

B)Man with a 42 in waist and 44 in hips

C)Woman who has a body mass index (BMI) of 24 kg/m2

D)Woman with a waist circumference of 34 inches (86 cm)

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Chapter 41: Upper Gastrointestinal Problems

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Sample Questions

Q1) A 38-year old woman receiving chemotherapy for breast cancer develops a Candida albicans oral infection. The nurse will anticipate the need for A)hydrogen peroxide rinses.

B)the use of antiviral agents.

C)administration of nystatin tablets.

D)referral to a dentist for professional tooth cleaning.

Q2) Which assessment should the nurse perform first for a patient who just vomited bright red blood?

A)Measuring the quantity of emesis

B)Palpating the abdomen for distention

C)Auscultating the chest for breath sounds

D)Taking the blood pressure (BP) and pulse

Q3) A 26-yr-old patient with a family history of stomach cancer asks the nurse about ways to decrease the risk for developing stomach cancer. The nurse will teach the patient to avoid

A)emotionally stressful situations.

B)smoked foods such as ham and bacon.

C)foods that cause distention or bloating.

D)chronic use of H2 blocking medications.

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Page 43

Chapter 42: Lower Gastrointestinal Problems

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Sample Questions

Q1) Which action will the nurse include in the plan of care for a patient who is being admitted with Clostridium difficile?

A)Teach the patient about proper food storage.

B)Order a diet without dairy products for the patient.

C)Place the patient in a private room on contact isolation.

D)Teach the patient about why antibiotics will not be used.

Q2) Which menu choice by the patient with diverticulosis is best for preventing diverticulitis?

A)Navy bean soup and vegetable salad

B)Whole grain pasta with tomato sauce

C)Baked potato with low-fat sour cream

D)Roast beef sandwich on whole wheat bread

Q3) A patient preparing to undergo a colon resection for cancer of the colon asks about the elevated carcinoembryonic antigen (CEA)test result. The nurse explains that the test is used to

A)identify any metastasis of the cancer.

B)monitor the tumor status after surgery.

C)confirm the diagnosis of a specific type of cancer.

D)determine the need for postoperative chemotherapy.

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Page 44

Chapter 43: Liver, pancreas, and Biliary Tract Problems

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Sample Questions

Q1) The nurse recognizes that teaching a patient following a laparoscopic cholecystectomy has been effective when the patient makes which statement?

A)"I can expect yellow-green drainage from the incision for a few days."

B)"I can remove the bandages on my incisions tomorrow and take a shower."

C)"I should plan to limit my activities and not return to work for 4 to 6 weeks."

D)"I will need to maintain a low-fat diet for life because I no longer have a gallbladder."

Q2) The nurse will teach a patient with chronic pancreatitis to take the prescribed pancrelipase (Viokase)

A)at bedtime.

B)with meals.

C)in the morning.

D)for abdominal pain.

Q3) The nurse will plan to teach the patient diagnosed with acute hepatitis B about

A)administering a-interferon

B)side effects of nucleotide analogs.

C)measures for improving the appetite.

D)ways to increase activity and exercise.

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Chapter 44: Assessment of Urinary System

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Sample Questions

Q1) A hospitalized patient with possible renal insufficiency after coronary artery bypass surgery is scheduled for a creatinine clearance test. Which item will the nurse need to obtain?

A)Urinary catheter

B)Sterile specimen cup

C)Cleansing towelettes

D)Large urine container

Q2) A patient who has elevated blood urea nitrogen (BUN)and serum creatinine levels is scheduled for a renal arteriogram. Which bowel preparation order would the nurse question for this patient?

A)Fleet enema

B)Tap-water enema

C)Senna/docusate (Senokot-S)

D)Bisacodyl (Dulcolax) tablets

Q3) How will the nurse assess for flank tenderness in a patient with suspected pyelonephritis?

A)Palpate along both sides of the lumbar vertebral column.

B)Strike a flat hand covering the costovertebral angle (CVA).

C)Push fingers upward into the two lowest intercostal spaces.

D)Percuss between the iliac crest and ribs at the midaxillary line.

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Chapter 45: Renal and Urologic Problems

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Sample Questions

Q1) Which finding by the nurse will be most helpful in determining whether a 67-yr-old patient with benign prostatic hyperplasia has an upper urinary tract infection (UTI)?

A)Bladder distention

B)Foul-smelling urine

C)Suprapubic discomfort

D)Costovertebral tenderness

Q2) Which information will the nurse include when teaching the patient with a urinary tract infection (UTI)about the use of phenazopyridine?

A)Take phenazopyridine for at least 7 days.

B)Phenazopyridine may cause photosensitivity

C)Phenazopyridine may change the urine color

D)Take phenazopyridine before sexual intercourse.

Q3) Which action will the nurse anticipate taking for an otherwise healthy 50-yr-old who has just been diagnosed with stage 1 renal cell carcinoma?

A)Prepare patient for a renal biopsy.

B)Provide preoperative teaching about nephrectomy.

C)Teach the patient about chemotherapy medications.

D)Schedule for a follow-up appointment in 3 months.

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Chapter 46: Acute Kidney Injury and Chronic Kidney Disease

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Sample Questions

Q1) A licensed practical/vocational nurse (LPN/LVN)is caring for a patient with stage 2 chronic kidney disease. Which observation by the RN requires an intervention?

A)The LPN/LVN administers the erythropoietin subcutaneously.

B)The LPN/LVN assists the patient to ambulate out in the hallway.

C)The LPN/LVN administers the iron supplement and phosphate binder with lunch.

D)The LPN/LVN carries a tray containing low-protein foods into the patient's room.

Q2) Which intervention will be included in the plan of care for a patient with acute kidney injury (AKI)who has a temporary vascular access catheter in the left femoral vein?

A)Start continuous pulse oximetry.

B)Restrict physical activity to bed rest.

C)Restrict the patient's oral protein intake.

D)Discontinue the urethral retention catheter.

Q3) A patient complains of leg cramps during hemodialysis. The nurse should A)massage the patient's legs.

B)reposition the patient supine.

C)give acetaminophen (Tylenol).

D)infuse a bolus of normal saline.

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Page 48

Chapter 47: Assessment of Endocrine System

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Sample Questions

Q1) The nurse will plan to teach a patient to minimize physical and emotional stress while the patient is undergoing

A)a water deprivation test.

B)testing for serum T3 and T4 levels.

C)a 24-hour urine test for free cortisol.

D)a radioactive iodine (I-131) uptake test.

Q2) An 18-yr-old male patient with small stature is scheduled for a growth hormone stimulation test. In preparation for the test,the nurse will obtain A)ice in a basin.

B)glargine insulin.

C)a cardiac monitor.

D)50% dextrose solution.

Q3) The nurse reviews a patient's glycosylated hemoglobin (A1C)results to evaluate

A)fasting preprandial glucose levels.

B)glucose levels 2 hours after a meal.

C)glucose control over the past 90 days.

D)hypoglycemic episodes in the past 3 months.

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Chapter 48: Diabetes Mellitus

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Sample Questions

Q1) Which information will the nurse include when teaching a patient who has type 2 diabetes about glyburide ?

A)Glyburide decreases glucagon secretion from the pancreas.

B)Glyburide stimulates insulin production and release from the pancreas.

C)Glyburide should be taken even if the morning blood glucose level is low.

D)Glyburide should not be used for 48 hours after receiving IV contrast media.

Q2) A patient receives aspart (NovoLog)insulin at 8:00 AM. At which time would the nurse anticipate the highest risk for hypoglycemia?

A)10:00 AM

B)12:00 AM

C)2:00 PM

D)4:0 PM

Q3) A 30-yr-old patient has a new diagnosis of type 2 diabetes. The nurse will discuss the need to schedule a dilated eye examination

A)every 2 years.

B)as soon as possible.

C)when the patient is 39 years old.

D)within the first year after diagnosis.

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Chapter 49: Endocrine Problems

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Sample Questions

Q1) The nurse is assessing a male patient diagnosed with a pituitary tumor causing panhypopituitarism. Assessment findings consistent with panhypopituitarism include A)high blood pressure.

B)decreased facial hair.

C)elevated blood glucose.

D)tachycardia and palpitations.

Q2) A 56-yr-old patient who is disoriented and reports a headache and muscle cramps is hospitalized with possible syndrome of inappropriate antidiuretic hormone (SIADH). The nurse would expect the initial laboratory results to include a(n)

A)elevated hematocrit.

B)decreased serum sodium.

C)increased serum chloride.

D)low urine specific gravity.

Q3) The nurse will plan to monitor a patient diagnosed with a pheochromocytoma for A)flushing.

B)headache.

C)bradycardia.

D)hypoglycemia.

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Chapter 50: Assessment of Reproductive System

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Sample Questions

Q1) A 19-yr-old patient calls the school clinic and tells the nurse,"My menstrual period is very heavy this time. I have to change my tampon every 4 hours." Which action should the nurse take next?

A)Tell the patient that her flow is not unusually heavy.

B)Schedule the patient for an appointment later that day.

C)Ask the patient how heavy her usual menstrual flow is.

D)Have the patient call again if the heavy flow continues.

Q2) A 49-yr-old man who has type 2 diabetes,high blood pressure,hyperlipidemia,and gastroesophageal reflux tells the nurse that he has had recent difficulty in achieving an erection. Which of the following drugs from his current medications list may cause erectile dysfunction (ED)?

A)Ranitidine (Zantac)

B)Atorvastatin (Lipitor)

C)Propranolol (Inderal)

D)Metformin (Glucophage)

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Chapter 51: Breast Disorders

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Sample Questions

Q1) Which nursing action should be included in the plan of care for a patient returning to the surgical unit after a left modified radical mastectomy with dissection of axillary lymph nodes?

A)Obtain a permanent breast prosthesis before the patient is discharged from the hospital.

B)Teach the patient to use the ordered patient-controlled analgesia (PCA) every 10 minutes.

C)Post a sign at the bedside warning against venipunctures or blood pressures in the left arm.

D)Insist that the patient examine the surgical incision when the initial dressings are removed.

Q2) The nurse will teach a patient with metastatic breast cancer who has a new prescription for trastuzumab (Herceptin)that

A)hot flashes may occur with the medication.

B)serum electrolyte levels will be drawn monthly.

C)the patient will need frequent eye examinations.

D)the patient should call if she notices ankle swelling.

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Chapter 52: Sexually Transmitted Infections

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19 Flashcards

Source URL: https://quizplus.com/quiz/25387

Sample Questions

Q1) Which infection,reported in the health history of a female patient who is having difficulty conceiving,will the nurse identify as a risk factor for infertility?

A)N.gonorrhoeae

B)Treponema pallidum

C)Condyloma acuminatum

D)Herpes simplex virus type 2

Q2) Which patient will the nurse plan on teaching about the Gardasil vaccine?

A)A 24-yr-old female patient who has not been sexually active

B)A 34-yr-old female patient who has multiple sexual partners

C)A 24-yr-old female patient who is pregnant for the first time

D)A 34-yr-old female patient who is in a monogamous relationship

Q3) A patient with gonorrhea is treated with a single IM dose of ceftriaxone (Rocephin)and is given a prescription for doxycycline (Vibramycin)100 mg bid for 7 days. The nurse explains to the patient that this combination is prescribed to A)prevent reinfection during treatment.

B)treat any coexisting chlamydial infection.

C)eradicate resistant strains of N.gonorrhoeae.

D)prevent the development of resistant organisms.

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Chapter 53: Female Reproductive and Genital Problems

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49 Verified Questions

49 Flashcards

Source URL: https://quizplus.com/quiz/25388

Sample Questions

Q1) A patient has an induced abortion with suction curettage at an ambulatory surgical center. Which instructions will the nurse include when discharging the patient?

A)"Avoid contraceptives until your reexamination."

B)"Heavy vaginal bleeding is expected for 2 weeks."

C)"Abstain from sexual intercourse for the next 2 weeks."

D)"Irregular menstrual periods are expected for a few months."

Q2) Which topic will the nurse include in the preoperative teaching for a patient admitted for an abdominal hysterectomy?

A)Purpose of ambulation and leg exercises

B)Adverse effects of systemic chemotherapy

C)Decrease in vaginal sensation after surgery

D)Symptoms caused by the drop in estrogen level

Q3) A patient is on the surgical unit after a radical abdominal hysterectomy. Which finding requires a report to the health care provider?

A)Urine output of 125 mL in the first 8 hours after surgery

B)Decreased bowel sounds in all four abdominal quadrants

C)One-inch area of bloody drainage on the abdominal dressing

D)Complaints of abdominal pain at the incision site with coughing

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Chapter 54: Male Reproductive and Genital Problems

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35 Verified Questions

35 Flashcards

Source URL: https://quizplus.com/quiz/25389

Sample Questions

Q1) A 58-yr-old patient with erectile dysfunction (ED)tells the nurse he is interested in using sildenafil (Viagra). Which action should the nurse take first?

A)Assure the patient that ED is common with aging.

B)Ask the patient about any prescription drugs he is taking.

C)Tell the patient that Viagra does not always work for ED.

D)Discuss the common adverse effects of erectogenic drugs.

Q2) The plan of care for a patient immediately after a perineal radical prostatectomy will include decreasing the risk for infection related to A)urinary incontinence.

B)prolonged urinary stasis.

C)fecal wound contamination.

D)suprapubic catheter placement.

Q3) Which assessment information collected by the nurse may present a contraindication to a testosterone replacement therapy (TRT)?

A)The patient has noticed a decrease in energy level for a few years.

B)The patient's symptoms have increased steadily over the past few years.

C)The patient has been using sildenafil (Viagra) several times every week.

D)The patient has had a gradual decrease in the force of his urinary stream.

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Chapter 55: Assessment of Nervous System

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21 Flashcards

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Sample Questions

Q1) Which equipment will the nurse obtain to assess vibration sense in a patient with diabetes who has peripheral nerve dysfunction?

A)Sharp pin

B)Tuning fork

C)Reflex hammer

D)Calibrated compass

Q2) A patient has a tumor in the cerebellum. The nurse will plan interventions to A)prevent falls.

B)stabilize mood.

C)avoid aspiration.

D)improve memory.

Q3) Which information about a 76-yr-old patient should the nurse report as uncharacteristic of normal aging?

A)Triceps reflex response graded at 1/5

B)Unintended weight loss of 15 pounds

C)10 mm Hg orthostatic drop in systolic blood pressure

D)Patient complaint of chronic difficulty in falling asleep

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Chapter 56: Acute Intracranial Problems

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Sample Questions

Q1) A patient being admitted with bacterial meningitis has a temperature of 102.5° F (39.2° C)and a severe headache. Which order should the nurse implement first?

A)Administer ceftizoxime (Cefizox) 1 g IV.

B)Give acetaminophen (Tylenol) 650 mg PO.

C)Use a cooling blanket to lower temperature.

D)Swab the nasopharyngeal mucosa for cultures.

Q2) The nurse is caring for a patient who has a head injury and fractured right arm after being assaulted. Which assessment information requires rapid action by the nurse?

A)The apical pulse is slightly irregular.

B)The patient complains of a headache.

C)The patient is more difficult to arouse.

D)The blood pressure (BP) increases to 140/62 mm Hg.

Q3) A patient who has bacterial meningitis is disoriented and anxious. Which nursing action will be included in the plan of care?

A)Encourage family members to remain at the bedside.

B)Apply soft restraints to protect the patient from injury.

C)Keep the room well-lighted to improve patient orientation.

D)Minimize contact with the patient to decrease sensory input.

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Chapter 57: Stroke

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Sample Questions

Q1) A male patient who has right-sided weakness after a stroke is making progress in learning to use the left hand for feeding and other activities. The nurse observes that when the patient's wife is visiting,she feeds and dresses him. Which nursing diagnosis is most appropriate for the patient?

A)Interrupted family processes related to effects of illness of a family member

B)Situational low self-esteem related to increasing dependence on spouse for care

C)Disabled family coping related to inadequate understanding by patient's spouse

D)Impaired nutrition: less than body requirements related to hemiplegia and aphasia

Q2) A 63-yr-old patient who began experiencing right arm and leg weakness is admitted to the emergency department. In which order will the nurse implement these actions included in the stroke protocol? (Put a comma and a space between each answer choice [A,B,C,D].)

A)Obtain CT scan without contrast.

B)Infuse tissue plasminogen activator (tPA).

C)Administer oxygen to keep O? saturation >95%.

D)Use National Institute of Health Stroke Scale to assess patient.

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Chapter 58: Chronic Neurologic Problems

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Sample Questions

Q1) A hospitalized patient complains of a bilateral headache (4/10 on the pain scale)that radiates from the base of the skull. Which prescribed PRN medications should the nurse administer initially?

A)Lorazepam (Ativan)

B)Acetaminophen (Tylenol)

C)Morphine sulfate (MS Contin)

D)Butalbital and aspirin (Fiorinal)

Q2) Which action will the nurse plan to take for a patient with multiple sclerosis who has urinary retention caused by a flaccid bladder?

A)Encourage a decreased evening intake of fluid.

B)Teach the patient how to use the Credé method.

C)Suggest the use of adult incontinence briefs for nighttime only.

D)Assist the patient to the commode every 2 hours during the day.

Q3) A patient who is having an acute exacerbation of multiple sclerosis has a prescription for methylprednisolone (Solu-Medrol)150 mg IV. The label on the vial reads: methylprednisolone 125 mg in 2 mL. How many mL will the nurse administer?

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Page 60

Chapter 59: Dementia and Delirium

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Sample Questions

Q1) After change-of-shift report on the Alzheimer's disease/dementia unit,which patient will the nurse assess first?

A)Patient who has not had a bowel movement for 5 days

B)Patient who has a stage II pressure ulcer on the coccyx

C)Patient who is refusing to take the prescribed medications

D)Patient who developed a new cough after eating breakfast

Q2) The nurse is concerned about a postoperative patient's risk for injury during an episode of delirium. The most appropriate action by the nurse is to

A)secure the patient in bed using a soft chest restraint.

B)ask the health care provider to order an antipsychotic drug.

C)instruct family members to remain at the patient's bedside and prevent injury.

D)assign unlicensed assistive personnel (UAP) to stay with and reorient the patient.

Q3) When administering a mental status examination to a patient with delirium,the nurse should

A)wait until the patient is well-rested.

B)administer an anxiolytic medication.

C)choose a place without distracting stimuli.

D)reorient the patient during the examination.

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Chapter 60: Spinal Cord and Peripheral Nerve Problems

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Sample Questions

Q1) A patient admitted with dermal ulcers who has a history of a T3 spinal cord injury tells the nurse,"I have a pounding headache and I feel sick to my stomach." Which action should the nurse take first?

A)Check for a fecal impaction.

B)Give the prescribed antiemetic.

C)Assess the blood pressure (BP).

D)Notify the health care provider.

Q2) A 20-yr-old patient who sustained a T2 spinal cord injury 10 days ago tells the nurse,"I want to be transferred to a hospital where the nurses know what they are doing." Which action by the nurse is appropriate?

A)Respond that abusive language will not be tolerated.

B)Request that the patient provide input for the plan of care.

C)Perform care without responding to the patient's comments.

D)Reassure the patient about the competence of the nursing staff.

Q3) A patient with neurogenic shock after a spinal cord injury is to receive lactated Ringer's solution 400 mL over 20 minutes. When setting the IV pump to deliver the IV fluid,the nurse will set the rate at how many milliliters per hour?

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Chapter 61: Assessment of Musculoskeletal System

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Sample Questions

Q1) The nurse finds that a patient can flex the arms when no resistance is applied but is unable to flex when the nurse applies light resistance. The nurse should document the patient's muscle strength as level

A)0.

B)1.

C)2.

D)3.

Q2) Which information obtained during the nurse's assessment of a patient's nutritional-metabolic pattern may indicates increased risk for musculoskeletal problems?

A)The patient takes a multivitamin daily.

B)The patient dislikes fruits and vegetables.

C)The patient is 5 ft, 2 in tall and weighs 180 lb.

D)The patient prefers whole milk to nonfat milk.

Q3) Which finding from analysis of fluid from a patient's right knee arthrocentesis will be of concern to the nurse?

A)Cloudy fluid

B)Scant thin fluid

C)Pale yellow fluid

D)Straw-colored fluid

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Chapter 62: Musculoskeletal Trauma and Orthopedic Surgery

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Sample Questions

Q1) Which nursing action for a patient who has had right hip arthroplasty can the nurse delegate to experienced unlicensed assistive personnel (UAP)?

A)Reposition the patient every 1 to 2 hours.

B)Assess for skin irritation on the patient's back.

C)Teach the patient quadriceps-setting exercises.

D)Determine the patient's pain intensity and tolerance.

Q2) A patient who slipped and fell in the shower at home has a proximal left humerus fracture immobilized with a long-arm cast and a sling. Which nursing intervention will be included in the plan of care?

A)Use surgical net dressing to hang the arm from an IV pole.

B)Immobilize the fingers of the left hand with gauze dressings.

C)Assess the left axilla and change absorbent dressings as needed.

D)Assist the patient in passive range of motion (ROM) for the right arm.

Q3) When assessing for Tinel's sign in a patient with possible right carpal tunnel syndrome,the nurse will ask the patient about

A)weakness in the right little finger.

B)burning in the right elbow and forearm.

C)tremor when gripping with the right hand.

D)tingling in the right thumb and index finger.

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Chapter 63: Musculoskeletal Problems

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25 Flashcards

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Sample Questions

Q1) An appropriate nursing intervention for a patient who has acute low back pain and muscle spasms is to teach the patient to

A)keep both feet flat on the floor when prolonged standing is required.

B)twist gently from side to side to maintain range of motion in the spine.

C)keep the head elevated slightly and flex the knees when resting in bed.

D)avoid the use of cold packs because they will exacerbate the muscle spasms.

Q2) Which nursing action included in the care of a patient after laminectomy can the nurse delegate to experienced unlicensed assistive personnel (UAP)?

A)Check ability to plantar and dorsiflex the foot.

B)Determine the patient's readiness to ambulate.

C)Log roll the patient from side to side every 2 hours.

D)Ask about pain management with the patient-controlled analgesia (PCA).

Q3) When administering alendronate (Fosamax)to a patient with osteoporosis,the nurse will

A)ask about any leg cramps or hot flashes.

B)assist the patient to sit up at the bedside.

C)be sure that the patient has recently eaten.

D)administer the ordered calcium carbonate.

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Chapter 64: Arthritis and Connective Tissue Diseases

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Source URL: https://quizplus.com/quiz/25399

Sample Questions

Q1) A patient with psoriatic arthritis and back pain is receiving etanercept (Enbrel). Which finding is most important for the nurse to report to the health care provider?

A)Red, scaly patches are noted on the arms.

B)Crackles are auscultated in the lung bases.

C)Hemoglobin is 11.1g/dL, and hematocrit is 35%.

D)Patient has continued pain after first week of etanercept therapy.

Q2) A new clinic patient with joint swelling and pain is being tested for systemic lupus erythematosus. Which test will provide the most specific findings for the nurse to review?

A)Rheumatoid factor (RF)

B)Antinuclear antibody (ANA)

C)Anti-Smith antibody (Anti-Sm)

D)Lupus erythematosus (LE) cell prep

Q3) Which action will the nurse include in the plan of care for a patient with a new diagnosis of rheumatoid arthritis (RA)?

A)Instruct the patient to purchase a soft mattress.

B)Encourage the patient to take a nap in the afternoon.

C)Teach the patient to use lukewarm water when bathing.

D)Suggest exercise with light weights several times daily.

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Chapter 65: Critical Care

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Sample Questions

Q1) The nurse is caring for a patient who has an intraaortic balloon pump (IABP)after a massive heart attack. When assessing the patient,the nurse notices blood backing up into the IABP catheter. In which order should the nurse take the following actions? (Put a comma and a space between each answer choice [A,B,C,D].)

A)Confirm that the IABP console has turned off.

B)Assess the patient's vital signs and orientation.

C)Obtain supplies for insertion of a new IABP catheter.

D)Notify the health care provider of the IABP malfunction.

Q2) The family members of a patient who has been admitted to the intensive care unit (ICU)with multiple traumatic injuries have just arrived in the ICU waiting room. Which action should the nurse take first?

A)Explain ICU visitation policies and encourage family visits.

B)Escort the family from the waiting room to the patient's bedside.

C)Describe the patient's injuries and the care that is being provided.

D)Invite the family to participate in an interprofessional care conference.

Q3) A patient's vital signs are pulse 90,respirations 24,and BP 128/64 mm Hg,and cardiac output is 4.7 L/min. The patient's stroke volume is _____ mL. (Round to the nearest whole number.)

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Chapter 66: Shock, sepsis, and Multiple Organ Dysfunction Syndrome

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Source URL: https://quizplus.com/quiz/25401

Sample Questions

Q1) The health care provider orders the following interventions for a 67-kg patient who has septic shock with a blood pressure of 70/42 mm Hg and O? saturation of 90% on room air. In which order will the nurse implement the actions? (Put a comma and a space between each answer choice [A,B,C,D,E].)

A)Give vancomycin 1 g IV.

B)Obtain blood and urine cultures

C)Start norepinephrine 0.5 mcg/min.

D)Infuse normal saline 2000 mL over 30 minutes.

E)Titrate oxygen administration to keep O? saturation above 95%.

Q2) A nurse is assessing a patient who is receiving a nitroprusside infusion to treat cardiogenic shock. Which finding indicates that the drug is effective?

A)No new heart murmurs

B)Decreased troponin level

C)Warm, pink, and dry skin

D)Blood pressure of 92/40 mm Hg

Q3) A 198-lb patient is to receive a dobutamine infusion at 5 mcg/kg/min. The label on the infusion bag states: dobutamine 250 mg in 250 mL of normal saline. When setting the infusion pump,the nurse will set the infusion rate at how many milliliters per hour?

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Chapter 67: Acute Respiratory Failure and Acute

Respiratory Distress Syndrome

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Sample Questions

Q1) When assessing a patient with chronic obstructive pulmonary disease (COPD),the nurse finds a new onset of agitation and confusion. Which action should the nurse take first?

A)Observe for facial symmetry.

B)Notify the health care provider.

C)Attempt to calm and reorient the patient.

D)Assess oxygenation using pulse oximetry.

Q2) The nurse is caring for a patient who arrived in the emergency department with acute respiratory distress. Which assessment finding by the nurse requires the most rapid action?

A)The patient's PaO2 is 45 mm Hg.

B)The patient's PaCO2 is 33 mm Hg.

C)The patient's respirations are shallow.

D)The patient's respiratory rate is 32 breaths/min.

Q3) After receiving change-of-shift report on a medical unit,which patient should the nurse assess first?

A)A patient with cystic fibrosis who has thick, green-colored sputum

B)A patient with pneumonia who has crackles bilaterally in the lung bases

C)A patient with emphysema who has an oxygen saturation of 90% to 92%

Page 69

D)A patient with septicemia who has intercostal and suprasternal retractions

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Chapter 68: Emergency and Disaster Nursing

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Sample Questions

Q1) A patient arrives in the emergency department (ED)several hours after taking "25 to 30" acetaminophen (Tylenol)tablets. Which action will the nurse plan to take?

A)Give N-acetylcysteine.

B)Discuss the use of chelation therapy.

C)Start oxygen using a non-rebreather mask.

D)Have the patient drink large amounts of water.

Q2) The emergency department (ED)triage nurse is assessing four victims involved in a motor vehicle collision. Which patient has the highest priority for treatment?

A)A patient with no pedal pulses

B)A patient with an open femur fracture

C)A patient with bleeding facial lacerations

D)A patient with paradoxical chest movement

Q3) A patient who has deep human bite wounds on the left hand is being treated in the urgent care center. Which action will the nurse plan to take?

A)Prepare to administer rabies immune globulin (BayRab).

B)Assist the health care provider with suturing of the bite wounds.

C)Teach the patient the reason for the use of prophylactic antibiotics.

D)Keep the wounds dry until the health care provider can assess them.

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